摘要
Abstract
Objective To investigate the effect of PCI on the levels of serum CRP, CTn-I and CK-MB in patients with AMI after thrombolysis. Methods 72 patients with AMI admitted to our hospital from March, 2016 to July, 2018 were randomly divided into an observation group and a control group, 36 cases for each group. The control group were treated with direct PCI. The patients in the observation group were treated with PCI after intravenous thrombolysis. The efficacy, safety, and laboratory indicators of the two groups were compared. Results The recanalization rate of IRA, the remission rate of chest pain, and the ST segment shift rate were 91.67％, 88.89％, and 88.89％ in the observation group, and were 66.67％, 69.44％, and 63.89％ in the control group (all P < 0.05). The serum levels of CRP, CTn-I, and CK-MB were (23.26±3.26) mg/L, (2.65±0.58) μg/L, and (11.95±2.89) μg/L in the observation group, which were better than those in the control group (P < 0.05). There were no statistical differences in the incidences of hematuria, reperfusion arrhythmia, and hematoma at the puncture site and hospital mortality between the two groups (all P > 0.05). Conclusion PCI after venous thrombolysis has significant curative effect on AMI, which can improve myocardial tissue reperfusion, reduce myocardial damage, protect heart function, and doesn't increase the incidence of complications.关键词
急性心肌梗死/溶栓/PCI/CK-MBKey words
Acute myocardial infarction/Thrombolysis/PCI/CK-MB
